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iii iiii <br />EXHIBIT A <br />STATE OF COLOR:~DC <br />MINED LAND RECLAMATION DIVISION <br />P <br />-2Cart^ene ~~ Vaty a~ =esc _'-e= ~' <br />5ru ar ~ _~. _ I. ~ <br />~ <br /> a <br />_ <br /> "v ~C.'p. <br /> _C.PrOr <br /> "?C ~ ?dr'3 <br />APPLICATION FORM FOR A REYISiON =~+S Jr_,^<:' <br />TO A COAL MINING AND RECLAMATION PERMIT <br />This farm must be completed and submitted with all requests for minor <br />revisions, as defined in Rule 1.04(73), technical revisions as defined in <br />Rule 1.04(36) and permit revisions, as defined in Rule 1.04(90). All <br />revisions are to address the requirements of Rule 2.08.4. Three (3) copies of <br />your revision including maps must be submitted in order for it to be ccanpiete. <br />All revisions are to be formatted so they can be inserted into the permit to <br />replace the revised sections, maps, tables and/or figures. Explain in the <br />revision what section is being revised. The revision date should be printed <br />in the lower right corner of the revision pages. If necessary, the Toole of <br />Contents should also be revised. when the final version of the revision is <br />approved, 7 copies must he sent to OSM in Denver for Federal mines and for <br />non-Federal mines 1 copy must be sent to OSM at 625 Silver Avenue, SW, Suit= <br />310, Albuquerque, New Mexico 87102. The revision may not proceed until OSM <br />has been provided copies. Copies should be sent certified mail. <br />Permit No.: C- 8 0- 0 0 1 <br />Date: 0 5 / 1 4 / _9 _3 <br />Permittee: T H E P I T T S 6 U R G & <br />- - - - - - - - - - - - - - - <br />M I D W A Y_ C O A L M_ I "J I iJ G C 0. <br />Street: P O B O X 1 7 6 <br />- - - - - - - - - - - - - - - <br />- - - - - - - - - - - - - - - <br />City: O A K C R E E K <br />- - - - - - - - - - - - - - - - - - - - <br />State: C 0 Zip Code: ~ r,Z 4 SL L - _ - _ _ <br />Mine Name: E D N A <br />- - - - - - - - - - - - - - - - - - - - <br />Brief Description of Revision: D R A I N A G E C O N T R O L <br />P L A N _F O R _T H E ____ <br />G Q.g.L_ T R A ~1,_____,_ <br />Public Notice Attached - Yes X No (Required for PR's and TR's) <br />Bond Increase: Yes No X Federal Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/-) <br />Permit Area (+/-) <br />State Land (+/-) <br />_ _ 0 . _ Acres <br />- 0 . - Acres <br />- 0 - Acres <br />Affected Area (+/-) _ _ Q •_ Acres <br />Federal Land (+/-) p - Acres <br />Private Land i*i-) 0 _ Acres <br />6185E (10/901 <br />